Evaluation of multidisciplinary care plans for patients with diabetes

糖尿病患者多学科护理计划的评估

• 批准号: nhmrc : 222829
• 负责人: A/Pr Elizabeth Comino
• 金额: $ 5.57万
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2003
• 资助国家: 澳大利亚
• 起止时间: 2003-01-01 至 2003-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/evaluation-multidisciplinary-care-patients-diabetes/82529
• 关键词: Evaluation; multidisciplinary; care; plans; patients

Care planning for patients with chronic illnesses and complex needs is a major part of the Commonwealth Enhanced Primary Care package. This initiative, announced in late 1999, provides access to Medicare Benefits Schedule (MBS) items to remunerate general practitioners, involved in developing multidisciplinary care plans in cooperation with other health care providers. An issue of importance, and the one that this project investigates, is whether disease specific care is addressed in care plans and whether the care planning process is associated with improved provision and outcomes of care for a specific chronic illness. The chronic illness that has been chosen for this research project is diabetes because of its prevalence in the community, importance in general practice and because there are accepted standards of process and outcomes of care against which diabetes care contained in EPC care plans can be bench marked. Diabetes is estimated to affect 7.5% of the adult Australian population with more than 85% of those affected having type 2 or mature onset diabetes. Increasingly care of type 2 diabetes is provided in primary care under share care arrangements with specialist diabetes services and in a multidisciplinary team approach involving the patient and their carer as well as relevant health professionals. A recent review has shown that there is a lack of evidence on whether multidisciplinary care is associated with improved process and outcomes of diabetes care. The project will involve 50 general practitioners and 200 of their patients with diabetes in South West Sydney. The design of the project involves audit of the care plans to examine the extent and quality of the diabetes care contained in comparison to accepted benchmarks. The project will also audit the patients' medical records for the year of care before and after the care plan. This care will be compared to published guidelines for process of care and goals for outcomes.

为慢性病患者和有复杂需要的患者制定护理计划是联邦加强初级保健一揽子计划的一个主要部分。1999年底宣布的这一倡议为与其他保健提供者合作参与制定多学科保健计划的全科医生提供了医疗保险福利表项目。一个重要的问题，也是本项目调查的问题，是在护理计划中是否涉及疾病特定的护理，以及护理计划过程是否与改善特定慢性病的护理提供和结果相关。本研究项目选择的慢性疾病是糖尿病，因为它在社区中的流行率，在一般实践中的重要性，并且因为有公认的护理过程和结果标准，EPC护理计划中包含的糖尿病护理可以作为基准。据估计，糖尿病影响7.5%的澳大利亚成年人口，其中超过85%的受影响者患有2型或成熟型糖尿病。2型糖尿病的护理越来越多地在初级保健中提供，与糖尿病专家服务共享护理安排，并在涉及患者及其护理人员以及相关卫生专业人员的多学科团队方法中提供。最近的一项综述表明，缺乏证据表明多学科护理是否与糖尿病护理的改善过程和结果相关。该项目将涉及悉尼西南部的50名全科医生和200名糖尿病患者。该项目的设计涉及对护理计划的审计，以检查与公认的基准相比所包含的糖尿病护理的程度和质量。该项目还将审计病人在护理计划实施前后一年的医疗记录。这种护理将与已发表的护理过程和结局目标指南进行比较。